One-Bone Forearm Reconstruction Using Vascularized Fibular Graft for Massive Forearm Soft-Tissue and Bone Defect: Case Report

Takuro Wada; Satoshi Kawaguchi; Satoshi Isogai; Satoshi Nagoya; Toshihiko Yamashita

doi:10.1055/s-2004-824885

Journal of Reconstructive Microsurgery, Table of Contents

J Reconstr Microsurg 2004; 20(4): 285-289
DOI: 10.1055/s-2004-824885

One-Bone Forearm Reconstruction Using Vascularized Fibular Graft for Massive Forearm Soft-Tissue and Bone Defect: Case Report

Takuro Wada¹ , Satoshi Kawaguchi¹ , Satoshi Isogai¹ , Satoshi Nagoya¹ , Toshihiko Yamashita¹

¹Department of Orthopaedic Surgery, Sapporo Medical University, Sapporo, Japan

Abstract

The authors report a case of recurrent malignant fibrous histiocytoma with extensive bone- and soft-tissue involvement, successfully treated with one-bone forearm reconstruction using a vascularized fibular graft and multiple tendon transfer. Twenty-four months after surgery, elbow and hand functions were maintained, and the patient had no disturbance of hand function in daily activity, although rotation of the forearm was sacrificed. No local recurrence or metastasis was noted. The procedure is a useful reconstructive option for complex tissue defects following wide excision of sarcoma of the forearm.

KEYWORDS

One-bone forearm reconstruction - sarcoma - vascularized fibular graft

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References

REFERENCES

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Takuro WadaM.D.

Department of Orthopaedic Surgery, Sapporo Medical University

South 1, West 16

Sapporo 060-8543, Japan